Permit Sign 363 Atlantic Blvd Gossamer Wings 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 12-00001903 Date 1/11/13
Property Address . . . . . . 363 ATLANTIC BLVD
Tenant nbr, name . . . . . . UNIT9 ON GOSSAMER WINGS
Application type description SIGN PERMIT
Property Zoning . . . . : . . . TO BE UPDATED
Application valuation . :: . . . 1800
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Application desc
NEW SIGN ON BLDG FRONT (USING EXISTING ELEC)
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Owner Contractor
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SHOPPES OF NORSHORE LLC LIBERTY LIGHTING, INC.
P.O. BOX 330108 599 CHARLES PICKNEY STREET
ATLANTIC BEACH FL 32233 ORANGE PARK FL 32073
(904) 610-8673
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Permit . . . . . . SIGN PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . ! 7/10/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
i
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---- ----- ---------- ---------- ----------
Permit Fee Total i65 . 00 65 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 69 . 00 69 . 00 . 00 . 00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach
APPLICATION NUMBER
Building Department (To be asftW by 00&Aft Dqxftent)
800 Serninole Road
Atlantic Beach. Florida 32233-$445
Phone(904)247-5= - Fax(W4)247-M45
e it E-mad: bui1dng-dept@?coab.U$ Date rotAed.-
City web-site http:/AWAV.coabLus
APPLICATION RE, VIEW AND TRACKING FORM
Property Address: Department review uIred Y" t4o
Building
Applicant: J,/K C Planning&Zoning
Tree Administrator
Project:
Public Works
V Public Utilities
Public Safety
Fire Services
A
Review fee $ 4LIC)o Dept Signature
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
Florida Dept.of Environrnentd Protection
Florida Dept.of Thansi:*rtation
St.Johns River Water Management District
Affny Corps�f—Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: EKwroved. ElDenied.
(Cirde one.) Comments:
BUILDING
:P�NNING&ZONING Reviewed by:_2W,44��Date:
TREE ADMIN. Second Review: ElApproved as revised. []Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SER%ACES Third Review: ElApproved as revised. ElDenied.
Comments:
Reviewed by Date:
ReylsW 0712TI10
City of Atlantic Beach APPLICATION NUMBER
Building Departrnent (To be assoW by the BUM"DMwhmt)
SW Seminole Road
Q -
Atlantic Beach. Florida 32233-5445
PhM(W)247-M - Fax(W4)247-5M5
E-man: builcing-deptecoab-u$ Date routed.
City web-site. http:/AwAv.coab.us I
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review Yes NO
Building
Applicant: Planning&Zoning
�J Tree Administrator
Project: Public Works
V
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required of Permit Verified @1( Date
Florida Dept.of Environmental Protection
Florida Dept of Transportation
St Johns River Water ManagemV District
Army Corps of Engineers
Division of Hotels and Restaurants
Divis, of Alcoholic Beverages and Tobacoo
Other
APPLICATION STATUS
Reviewing Department First Review: 8;�Proved. ElDenied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING
Reviewed by: Date-12-d�-/-Z--
TREE ADMIN. Second Review: DApproved as revised. E]D(/enied.
PUBLIC WORKS COmments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. ElDenied.
Comments:
Reviewed by: Date:
Revised 071VIlD
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845 FILE COPY I
Job Address: 3 L, 1, C- sk-k I A--L Permit Number:
Legal Description 43arcel#
Floor of iq
Valuation of Work tO 0 Proposed Work d ooled �n=-heated/cooled
Claw of Work(circle one): 11�Ne Addition AIteration Repair Move Demolition pool/spa window/door
Use of eAfingtpropof rturp(s)(�ircle one):. t�co in
.�mercial Residential
If an existing structure,is a fire spiinkler system ins a rc e one): No N/A
Florida Product Approval#
For multiple proaucts use product approval form
Describe in detail the ty)v of work to be performed: 'I
I'(A-j O'L k�>U.4 k A Li
'Proiterty Owner Information:
Name: Address: c
o State& ip-Uli.Q Phone ..
E-Mail or Fax 4(Optional). fLo Zc
Contractor Information:
CompanyName: fying Agen
LA'n,�( -1 Quali rt: -�� .�' . �'
Address: I City f �Av" qc. 'F1 State �--LF, ZA-2�672
OfficePhone qOLAOS(�- 'JA�',\A' JobSit Contact Number ax#
State CertificatioiVR6gistration# r- Q C),Zo-r,,
Architect Name&Phone 4--
-a
7-
EngineeesName&Phone# /17-i-,t 4)--XvSz� "ac,
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplication is heroy made to obtain apermit to do the work and installations as indicated. I certify that no work or installation has commencedprior to the
issuanceo apermit and that all work-will be per armed to meet 14 standards ofall laws regulatfng construction in th&jurisdiction. This permit becomes niell
and void iflwbrk is not commenced within six(6)months, or if c4q4struction or work is suspended or abandonedfor a Period ofs months at any time after
work is c6mmenced I understand that separate permits must be securedfor EkeWcar Work,Ambing,Mins, Welis,PoolsNu'rnacew,Boilers,Heaters,
Thah odAir ConAlwaas,etc.
WARNMG TO OWNER: YPUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
To YOUR PROPERTY. IF You INTEND TO OBTAIN FINANCING,, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Ih&j cert6 that I have readand examined this a -I' ' this
pp ication andAnow the same to be true and correct. Allproviyions of laws and ordh�jnces governi(g
0 e or canj
work will be com specified herein or not. The granting of a permit does not presume to give authority to /a 'e the
plied with whether
provisions ofany otherfederal,state,or local law regulating construction oc the peifibimahce of construction.
Signature of Owner Signature of Contractor
Print Name Print Name
....................................... ....... ...........
.................... ...... ............. ...........
me
Sworn to and subscribed before me Sw t d subselibed be oTe 0%%%111111
"�L y 0 i�Row 41"Wo
this—Day of 20 this 1�,'Na f
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2 27.
7.
Notary Public No#g Public-(7--k,,,'
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